PGY-1 @VUMC_Anes | @tulanemedicine @uofsc alum | pre-hospital care, critical care, and trauma anesthesia | former firefighter / paramedic | views my own
Absolutely heartbroken to hear that LF1 was involved in a serious crash today. Praying for the entire LifeFlight family and for strength and healing for the families of those affected.
Why are we still doing #CPR on traumatic arrests in the field? TCCC says otherwise. Consider pseudo-PEA, focus on IV/IO & blood, NDC, de-emphasize airway. Is there a disconnect between military & civilian, or is this a “we’ve always done it this way” scenario? #NAEMSP2025
Presenting @NewOrleansEMS / @TraumaTulane data at the Society for Airway Management conference with TC Byrne
Should we consider an X-CAB approach in trauma patients?
1. Resuscitate with blood before you intubate —> prevents intubation and improves in-hospital mortality
2. Induction agents decrease SVR and cause myocardial depression—> increased risk for cardiac arrest
3. Initiation of PPV —> decreased venous return to right heart —> further increases risk for arrest
= fill the tank first 🩸
I submitted program-specific personal statements in #Match2004 and it stood out b/c not many were doing it then. It’s an absolute arms race right now for anesthesiology residency slots - if you aren’t doing it, you are behind the curve. #Match2025
EMS Educators: I love this study & if you teach EMS, you should know about it!
Out-of-hospital cardiac arrest (OHCA) is one of the most critical conditions we manage. Survival varies widely across agencies—from 1.8% to 14.8%.
What can we do to improve outcomes? #EMS#MedEd